49D0883917 CLIA NUMBER - LIFENET HEALTH

Laboratory Demographics

  • CLIA Code: 49D0883917
  • Facility Name: LIFENET HEALTH
  • Facility Address: 1864 CONCERT DRIVE
    VIRGINIA BEACH, VA
    ZIP 23453
  • Facility Phone: 757 609-4150
  • Facility Type: Tissue Bank/Repositories
  • Facility Type: Certificate of Compliance
  • Lab Director: JIANXIONG R. BAO
  • NPI Number: 1295199156
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 49D0883917
LAB Type Tissue Bank/Repositories
Facility Name LIFENET HEALTH
Street 1864 CONCERT DRIVE
City VIRGINIA BEACH
State VA
ZIP 23453
Phone 757 609-4150
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Tissue Bank/Repositories
Lab Director JIANXIONG R. BAO

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This page was last updated on: 9/29/2025